NPIMap

Organization Active NPI

Harvest Health & Rehab LLC

  • Speech-Language Pathologist
  • Loogootee, IN
National Provider Identifier
1659828218
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22005469A Issued in IN
Legal business name
HARVEST HEALTH & REHAB LLC
Practice address
1 Loogootee Plaza
Loogootee, IN 47553-5364
Phone
(812) 709-3286
Fax
(812) 709-3287
NPI assigned
Sep 1, 2016
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Louise Burns, CCC-SLPNPI 1043762842
Title
Speech Pathologist
Phone
(812) 296-0950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05007803A IN
Occupational Therapist 225X00000X 31003700A IN
Speech-Language Pathologist 235Z00000X 22005469A IN Primary

Addresses

Primary practice location

1 Loogootee Plaza
Loogootee, IN 47553-5364

Mailing address

12501 E 200 S
Loogootee, IN 47553-5364
Phone (812) 709-3286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161107000378 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9335427798 Receives reassigned benefits from 22 practitioners
Practice locations: Bedford, IN; Loogootee, IN; Jasper, IN
O20200521001824 IN DME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Independently-Practicing Physical Therapist 9335427798 Practice locations: Loogootee, IN

National Provider Directory

National Provider Directory

Locations

2221 John Williams Blvd
Bedford, IN 47421
Phone (812) 329-1284

905 O St
Bedford, IN 47421
Phone (812) 329-1284

607 W 6th St
Ste C
Jasper, IN 47546
Phone (812) 709-3286

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1659828218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 E 200 S",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475535364",
            "telephone_number": "812-709-3286",
            "fax_number": "812-709-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LOOGOOTEE PLAZA",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475535364",
            "telephone_number": "812-709-3286",
            "fax_number": "812-709-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "812-296-0950",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007803A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003700A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005469A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loogootee, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.